MRS. JAMIE C INTERLICHIA (NPI# 1124278841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124278841 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE C INTERLICHIA |
| Other Name | MS. JAMIE C CZARNECKI |
| Credential | PA-C |
| Practice Address |
2157 Main St Buffalo NY 14214-2648 |
| Mailing Address |
829 Elmwood Ave Buffalo NY 14222-1409 |
| Practice Telephone | 7168621000 |
| Mailing Telephone | 7164723074 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2015-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2157 MAIN ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276189 | Andrew Soh | Internal Medicine | 2157 Main St, Buffalo, NY 14214-2648 | 2005-06-21 |
| 1033732540 | Seyedeh Kimia Yavari | Student in an Organized Health Care Education/Training Program | 2157 Main St, 2 Nd Floor, Dept of Internal Medicine, Buffalo, NY 14214-2648 | 2020-05-19 |
| 1710509120 | Hamzah Ruxshan Juhardeen | Student in an Organized Health Care Education/Training Program | 2157 Main St, Sisters of Charity Hospital, Buffalo, NY 14214-2692 | 2020-05-08 |
| 1487275228 | Kenneth Paul Dill | Pharmacist | 2157 Main St, Buffalo, NY 14214-2648 | 2020-05-04 |
| 1043831316 | Ivan Wudexi | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214 | 2020-04-28 |
| 1922628312 | Nicole Marie Fitch | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2020-04-26 |
| 1265052013 | Samia Sayyid | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2020-04-22 |
| 1003436817 | Numra Aslam Bajwa | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2692 | 2020-04-22 |
| 1265051676 | Mina Abdelmalek | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2648 | 2020-04-15 |
| 1932728631 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 2157 Main St, Buffalo, NY 14214-2692 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407323546 | Lauren Samantha Wiatrowski | Physician Assistant | 2475 Harlem Rd # 4558, Buffalo, NY 14225-4558 | 2018-10-26 |
| 1407238744 | Nicole J Jurek | Physician Assistant | 462 Grider St Ste 116, Buffalo, NY 14215-3021 | 2015-06-23 |
| 1912399114 | Arian Pllana | Physician Assistant | 47 Vermont St, Buffalo, NY 14213-2427 | 2015-02-24 |
| 1386032928 | Karyanne Cox | Physician Assistant | 100 E Tupper St, Buffalo, NY 14203-1315 | 2015-01-06 |
| 1255516324 | Harding County Healthcare LLC | Physician Assistant | 209 Ramsland Street, Buffalo, SD 57720-0182 | 2008-01-08 |
| 1164594099 | Urban Family Practice PC | Physician Assistant | 564 Niagara Street, Buffalo, NY 14201 | 2006-11-15 |
| 1760567127 | Suzanne Moscati | Physician Assistant | 95 Franklin St, Buffalo, NY 14202-3925 | 2006-10-26 |
| 1326089087 | Sharon Ruth Wittman-klein | Physician Assistant | 22 Cazenovia St, Buffalo, NY 14220-1706 | 2006-06-10 |
| 1386681211 | David Michael Dapolito | Physician Assistant | 200 International Dr, Buffalo, NY 14221-8217 | 2006-05-31 |
| 1801862115 | Patricia Gilbert | Physician Assistant | 209 Ramsland St., Buffalo, SD 57720-0182 | 2006-02-27 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.